Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.17 / $99.17 / $99.17	Facility		$99.17	$99.17	$99.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $99.17 / $102.80	Professional		$96.75	$99.17	$102.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $110.09 / $133.60	Professional		$95.93	$110.09	$133.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.17 / $114.89 / $166.61	Facility		$99.17	$114.89	$166.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $114.89 / $114.89	Professional		$114.89	$114.89	$114.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $99.17 / $104.12	Professional		$99.17	$99.17	$104.12
United Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $100.78 / $110.86	Professional		$90.70	$100.78	$110.86